Mini-Grant Application If you are human, leave this field blank.1. Application TypeSelect one of the following: *We are a U.S.-based non-profit organization applying using our own Employer Identification Number or EIN (entered below).We are a U.S.-based non-profit organization applying using a fiscal sponsor's Employer Identification Number or EIN (entered below).We are a Canada-based non-profit organization.Note: Every qualifying non-profit organization can apply for these mini-grants, however we do not fund individuals. If you do not have an EIN number, no problem, keep applying! But you’ll need to secure a fiscal sponsorship from another organization that has an EIN number before you can receive a check. We can help you try to find a fiscal sponsor if needed. 2. Contact InformationApplicant Organization Name *Employer Identification Number (if applicable / US-based organizations only)Canada-based organizations enter "n/a".Contact Person Name *This person will be our primary contact during the application period and responsible for all reporting.Contact Person Email *Contact Person Phone *Website (if applicable)Address number and street (if applicable)CityState/ProvinceCountryZip code/Postal codeName of Fiscal Sponsor Organization Where to Send Cheque (if different than above)If you need help to find a fiscal sponsor to apply, we can try to help you find one both before or after you applied Contact Person Name (Fiscal SponsorNumber and street (Fiscal Sponsor)City (Fiscal Sponsor)State/Province (Fiscal Sponsor)Country (Fiscal Sponsor)Zip code/Postal code (Fiscal Sponsor)Phone (Fiscal Sponsor)Email (Fiscal Sponsor)Website (Fiscal Sponsor)3. Indigenous LeadershipIs your organization Indigenous-led?We aim to provide at least 50% of our grants to groups that are indigenous-led; this means that decision-making power and leadership is held by Indigenous Peoples.Yes.No.4. Brief Organization SummaryOnly Indigenous, community-based grassroots and non-profit organizations can apply. Who are you and what do you all do? Summarize your organization’s mission, vision, goals, and membership in one short paragraph (150 words max.). See examples from past applicants here https://wman-info.org/programs/mini-grant-program/Organization Summary5. Brief Project SummarySummarize your request for grant assistance in 1-2 sentences. Please include what mining issue is being addressed, and the name and location of the mine or affected communities (if applicable)Project Summary6. Project DescriptionPlease provide a short description of the project proposed for this Mini-Grant (250 words max.). How does this project address hard rock mining issues, which issues, communities, or mining projects (if applicable)? If funded, what strategies will be made possible through this Mini-Grant? Tick one or more of the options that the grant will be used for (these are examples from past grants, they are not exhaustive, and you could perhaps see other possible uses):Project descriptionGrant use optionsWater / Air / Soil TestingEnvironmental and Social Impact Assessment SupportHire Legal / Technical / Scientific Consultant Public Awareness / Media / Social Media CampaignCapacity Building / Workshops / Meetings / Education Reports / Briefs / Information Sharing Direct Action Travel CostsPetitions / Get Out to Vote (local)Pay Staff Salary (10% max.)Other7. Organizational Budget and Portion of Total Budget Dedicated to Mining work:What is the size of your organization’s overall budget?Small (Under $75,000)Medium($75,000 - 500,000)Large ($500,000+)Tribe/First Nation/Innu/Inuit/MetisApproximately what % of your budget is dedicated to mining-related work?8. WMAN Mini-Grant Project BudgetTell us how you plan to use the $4,000 Mini-Grant you’re applying for, what types of expenses (estimates).Example: $2,000 technical or legal support by hiring XYZ $600 public meeting or workshop expenses (e.g. room, food, facilitator, etc.) $600 travel costs (e.g. air or road travel, hotel, etc.) $400 printing, communications & social media $400 coordination compensation for grantee or admin. fee for fiscal sponsor (10%) Total $4,000 9. Additional InformationHave you participated in WMAN and/or IEN events, conferences, projects, actions, etc.?YesNoNot sureAre you a member of any of WMAN’s or IEN’s email list serves?Yes, I'm a member.No, please add us.No, and I'm not interested.Do you want your organization to be listed on WMAN’s website?(see example here https://wman-info.org/participants)Yes.No.How did you hear about the mining Mini-Grant program?10. Previous Mining Mini-Grants FundingHave you received funding from the mining Mini-Grant program ?YesNoDid you turn in the required report? YesNo.If not, please do so for grant consideration (it’s easy! see guidelines).11. References (optional)If you are new to this Mini-Grant program, please feel free to provide the names and contact information of two people not in your organization who can provide us with a reference (if asked) about the work your organization does.NamePhoneEmailNamePhoneEmailSubmit WMAN is not currently accepting applications.